Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $120.23 / $467.74	Facility		$47.86	$120.23	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $50.12 / $60.26	Professional		$40.74	$50.12	$60.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $52.48 / $147.91	Facility		$27.54	$52.48	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $47.86	Professional		$38.02	$45.71	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $72.44 / $186.21	Facility		$40.74	$72.44	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $89.13	Professional		$50.12	$70.79	$89.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $102.33	Professional		$61.66	$61.66	$102.33
Select Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $42.66	Facility		$21.88	$21.88	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $81.28	Professional		$26.30	$33.88	$81.28